title: Impairment of short-term memory associated with low iron stores in a volunteer multidose plateletpheresis donor.
abstract: A platelet donor may lose 80-100 mL of blood both in the harness and by blood sampling at each donation, the equivalent of four to five whole blood donations per annum for a donor attending at 2-weekly intervals. A 54-year-old male multidose platelet donor had donated platelets at regular 2-weekly intervals for 6 years. He developed an impairment of anterograde memory (new learning). A self-rating scale revealed a moderate degree of depression [Beck Depression Inventory (BDI) score 22]. Memory testing (Doors and People Memory Battery) showed low scores, particularly for verbal recall and verbal recognition memory. He was found to have a normal haemoglobin of 157 g L(-1) with normal red blood cell indices, but a low serum ferritin (15 ng mL(-1)) and a low serum iron (8.1 mmol L(-1)). Following iron therapy and a return of his iron stores to normal levels, there was an improved BDI score of 13 (minimal level of depression) and a marked improvement in memory test scores. This has been maintained even though he has resumed platelet donation but at reduced intervals.
authors.affiliation: National Blood Service, Tooting, London, UK. lizanne.page@nbs.nhs.uk
authors.forename: E A
authors.initials: EA
authors.lastname: Page
authors.forename: J F
authors.initials: JF
authors.lastname: Harrison
authors.forename: E J
authors.initials: EJ
authors.lastname: Jaldow
authors.forename: M
authors.initials: M
authors.lastname: Kopelman
mesh_terms: D001782:Blood Donors; D003863:Depression / Q000209:etiology; D005293:Ferritins / Q000172:deficiency; D005296:Ferrous Compounds / Q000627:therapeutic use; D006801:Humans; D000090463:Iron Deficiencies; D008297:Male; D008569:Memory Disorders / Q000188:drug therapy / Q000209:etiology*; D011939:Mental Recall; D008875:Middle Aged; D010983:Plateletpheresis / Q000009:adverse effects*; D021641:Recognition, Psychology; D014706:Verbal Learning; D014838:Volunteers
chemical_list: D005296:Ferrous Compounds; C020748:ferrous sulfate; D005293:Ferritins